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Non-Pain Symptom Management Flashcards

7 cards from real CHPN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Non-Pain Symptom Management flashcards as text

  1. A hospice patient reports nausea that worsens with movement and is accompanied by vertigo. Which antiemetic class is MOST appropriate for motion-related nausea?

    Answer: Antihistamines/anticholinergics (e.g., meclizine)

    Antihistamines and anticholinergics target the vestibular system and are first-line for motion-induced or vestibular nausea.

  2. Which of the following is the MOST common cause of nausea and vomiting in patients with advanced cancer?

    Answer: Opioid-induced nausea via the chemoreceptor trigger zone (CTZ)

    Opioids stimulate dopamine receptors in the CTZ, making opioid-induced nausea one of the most frequent causes in palliative cancer patients.

  3. A patient with a malignant bowel obstruction is experiencing intractable vomiting. Which combination of medications is MOST appropriate for comfort?

    Answer: Haloperidol and octreotide

    Haloperidol reduces nausea via CTZ blockade while octreotide decreases GI secretions, reducing vomiting volume in bowel obstruction.

  4. A hospice nurse is caring for a patient with opioid-induced constipation. The patient has been on scheduled morphine for 2 weeks with no bowel movement in 5 days. Which laxative is MOST appropriate?

    Answer: Stimulant laxative (senna) combined with a stool softener (docusate)

    A stimulant laxative plus softener is the standard first-line regimen for opioid-induced constipation in palliative care.

  5. Methylnaltrexone (Relistor) is used in palliative care for which specific indication?

    Answer: Opioid-induced constipation refractory to conventional laxatives

    Methylnaltrexone is a peripherally acting mu-opioid receptor antagonist that reverses opioid-induced constipation without affecting central analgesia.

  6. Which non-pharmacologic intervention has the STRONGEST evidence for reducing chemotherapy-related nausea and vomiting in palliative patients?

    Answer: Acupressure at the P6 (Neiguan) point

    Acupressure at the P6 wrist point has the most consistent evidence among non-pharmacologic approaches for reducing nausea.

  7. A patient with advanced renal failure on hospice develops hiccups that have persisted for 3 days. Which medication is MOST commonly used to treat intractable hiccups in palliative care?

    Answer: Chlorpromazine or haloperidol

    Chlorpromazine is the only FDA-approved drug for hiccups; haloperidol is commonly used off-label with good evidence in palliative settings.